NPI Registry.org

Soul Werk Cafe Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
SOUL WERK CAFE PLLC17509862792024-05-07

The organization Soul Werk Cafe Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1750986279. Registration indicates Soul Werk Cafe Pllc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity TypeOrganization
Provider OrganizationSOUL WERK CAFE PLLC
Practice Office Address4137 SAUK TRL STE 217
RICHTON PARK, IL US
Practice Office Telephone7085806042
Mailing Address4137 SAUK TRL STE 217
RICHTON PARK, IL 604711253 US
Business Telephone7085806042
Authorized OfficialSHANIQUA FORD, OWNER/LEAD THER
7735742570
Contact Endpoints
Direct Messaging Address [][email protected]
HPT Codes
CodePractice
License No
State
101YM0800XAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor: Mental Health

Behavioral Health/Substance Abuse/Psychiatry

Counselor Mental Health
Behavioral Health & Social Service Providers
Counselor
101YP2500XAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor: Professional

Behavioral Health/Substance Abuse/Psychiatry

Counselor Professional
Behavioral Health & Social Service Providers
Counselor
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
193200000X MULTGroup Code
193200000X MULTGroup Code
193200000X MULTGroup Code
OPI Codes
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